云南省2010—2012年城乡地区15岁居民慢性病患病状况及其影响因素

目的 分析云南省2010—2012年城乡地区≥15岁居民慢性病患病状况及其影响因素。方法 采用多阶段分层与人口成比例的整群随机抽样方法,抽取云南省36个居(村)民委员会2 700户家庭5 434名城乡居民,采用统一的调查表对个人的健康与行为生活方式进行问卷调查,并对数据进行多因非条件logistic回归多因素分析。结果 云南省2010—2012 ≥15岁城乡居民超重或肥胖、高血压、糖尿病、血脂异常和脑卒中患病率分别为16.2%、9.3%、13.3%、23.2%和0.8%;排除了其他变量的影响后显示,哈尼族(OR=2.885,P=0.000)、做过医学体检(OR=1.268,P=0.000)和饮葡萄酒(OR=1.315,P=0.038)是云南省城乡地区≥15岁居民慢性病患病的危险因素,有配偶(OR=0.502,P=0.000)、苗族(OR=0.609,P=0.035)、居住地区为贫困县宁浪(OR=0.365,P=0.000)和孟连(OR=0.551,P=0.007)、不吸烟(OR=0.829,P=0.009)和饮高度白酒(OR=0.734,P=0.002)是云南省城乡地区≥15岁居民慢性病患病的保护因素。结论 云南省≥15岁居民慢性病患病状况不容忽视;≥15岁居民慢性病患病的影响因素主要有民族、婚姻状况、居住地区、医学体检、现在吸烟、饮酒等。

Prevalence and influencing factors of chronic diseases in residents aged 15 years and above in urban and rural areas of Yunnan province,2010-2012

Objective To analyze the prevalence of chronic diseases and its influencing factors in the residents aged 15 years and above in urban and rural areas of Yunnan province in 2010-2012.Methods A total of 5 434 urban and rural residents aged 15 years and above were selected from Panlong,Gejiu,Shuifu,Menglian,Ninglang,and Luxi country of Yunnan with multi-stage random cluster sampling and investigated with a face-to-face questionnaire survey.Multiple factors analysis was performed with non-conditional logistic regression.Results Among the participants,the prevalence rate of overweight or obesity,hypertension,diabetes,dyslipidemia,and stroke were 16.2%,9.3%,13.3%,23.2%,and 0.8%,respectively,during 2010-2012.After adjusting for potential confounding factors,the results of logistic regression revealed that the risk factors of chronic diseases were Hani nationalities(odds ratio[OR]=2.885,P=0.000),with history of physical examination(OR=1.268,P=0.000),and drinking wine(OR= 1.315,P=0.038)and the protective factors were married(OR=0.502,P=0.000),Miao nationality(OR=0.609,P=0.035),living in poverty-stricken areas in Ninglang(OR=0.365,P=0.000) and Menglian(OR=0.551,P=0.007)county,non-smoker(OR=0.829,P=0.009),and strong alcohol-drinking(OR=0.734,P=0.002).Conclusion The prevalence of chronic diseases in residents aged 15 years and above in urban and rural areas of Yunnan province should be concerned and the prevalence was influenced by ethnicity,marital status,living area,history of physical examination,smoking,and alcohol use.